Complications That Could Occur With Your IUD and How to Manage Them

Complications That Could Occur With Your IUD and How to Manage Them

IUDs are effective contraception. They are reliable and very effective in preventing pregnancy. IUDs are generally safe, but in a few cases, after a private IUD coil fitting London, the following complications may occur.

If you plan on getting an IUD, you should know the possible things that may go wrong, the symptoms that occur when these things happen and how to manage them.

IUD expulsion

  • Why does IUD expulsion occur?

IUD expulsion rarely occurs, but at times, the device may fall out. The uterus is a big muscle, and as the muscles contracts, the force may be sufficient to push out an IUD. IUD expulsion commonly happens during periods.

  • Symptoms

IUD expulsion may occur with severe cramping and heavy bleeding that has clotted. If your IUD made your period cease, you might begin to have your periods when the device falls out.

  • What you should do

If you think your IUD fell out, the easiest way to be sure is to check for the strings. If you fitted an IUD, try to check for the strings monthly to ensure that they are in place and that the length of the strings are as they should be.

If you do not feel your IUD string, contact your private gynaecologist then ensure you use emergency contraception when you have sex until you have sorted the problem out.

IUD displacement

  • Why does IUD displacement occur?

Inside the uterus is a potential space. It means that if nothing is in the uterus like a baby or IUD, it closes. When an IUD is inserted in your uterus, the uterine walls apply pressure on the device and keeps the IUD in place. In some cases, the IUD may shift from the position your doctor placed it, and this reduces its effectiveness.

  • Symptoms

If your IUD shifts from its position, you might have heavy or irregular bleeding and cramping. You may experience a poking sensation, or your partner may feel the strings while having sex.

  • What should you do?

To know if your IUD is still in place, check for the strings. Ensure you check for your IUD strings every month. If the IUD strings feel shorter or longer, or you do not feel them at all, use an emergency contraceptive because your IUD may have shifted out of place. Call your health care provider immediately to book an appointment to have your IUD checked out.

IUD perforation

  • Why does IUD perforation occur?

IUD perforation rarely occurs, but when it does, the IUD makes a hole in the uterine wall. IUD perforation usually occurs during the insertion, but it may also occur when the IUD shifts while in the uterus.

  • Symptoms

IUD perforation may cause severe cramping and irregular bleeding. When the IUD perforates the uterine wall, you may not feel the strings.

  • What should you do?

Make sure you call your healthcare provider if you think your IUD has perforated the wall of your uterus. If IUD perforation occurs, the IUD may migrate to the abdomen or pelvis, which may lead to severe problems with the internal organs (intestines or bladder).

Your healthcare provider will carry out a pelvic exam on you or order an ultrasound to check the position of the IUD. You may need a minor surgery known as laparoscopy, where a surgical camera is used to examine the abdomen or pelvis.

Lost IUD

  • Why does an IUD get lost?

An IUD can get lost if the strings are too short to be felt or seen. It may also be because the IUD fell out of the uterus or perforated the wall of the uterus.

  • Symptoms

When your IUD is lost because the strings are too short, you may not experience any symptoms, but some women may experience irregular or heavy bleeding and cramping.

  • What should you do?

If you cannot see or feel your IUD strings, call your health care provider immediately and use emergency contraception. Your healthcare provider will use a speculum or order an ultrasound to check for the IUD.

IUD pregnancy

  • Why does the IUD pregnancy occur?

IUDs are one of the most effective contraception, with over 99% effectiveness. The only option that is 100% effective in preventing pregnancy is abstinence. IUDs prevent pregnancy by making the lining of the cervix thick, killing the sperm or thinning the uterine lining but in a few cases, the IUD may not do any of these.

  • Symptoms

For women who were having their period while the IUD was in their uterus, their periods will cease. Other symptoms of IUD pregnancy which are also typical symptoms of early pregnancy include fatigue, nausea, frequent urination, vomiting tenderness of the breast.

  • What to do?

If you think you are pregnant while your IUD is still in place, contact your health care provider immediately even when you carry out a home pregnancy test, and it shows negative. Having an IUD in place and getting pregnant increases the risk of ectopic pregnancy (a pregnancy that occurs in the fallopian tube, outside the uterus). Ectopic pregnancy could be life-threatening, so you need a doctor to examine you and confirm if you are pregnant.

Your doctor may order an ultrasound. If it shows that you have a healthy pregnancy, you may decide to keep the baby or abort, but if you have an ectopic pregnancy, you will need medication or surgery.

If you have an IUD fitted and you feel there is a complication, contact Gynae UK the private gynaecologist at Harley Street in London immediately to seek the help of a specialist.